	<input type="hidden" name="contact_id" value="<?php echo $c->contact->id; ?>"/>
	<input type="hidden" name="contact_modified" value="1" />
	<table border=0>
		<tr><th>Name:</th><td><input type="text" size="6" name="contact_firstname" value="<?php echo $c->contact->firstname; ?>" />
    		<input type="text" size="10" name="contact_lastname" value="<?php echo $c->contact->lastname; ?>" /></td></tr>
    	<tr><th>E-mail:</th><td><input type="text" name="contact_email" value="<?php echo $c->contact->email; ?>" /></td></tr>
    	<tr><th>Work:</th><td><input type="text" name="contact_work_phone" value="<?php echo $c->contact->work_phone; ?>" /></td></tr>
    	<tr><th>Home:</th><td><input type="text" name="contact_home_phone" value="<?php echo $c->contact->home_phone; ?>" /></td></tr>
    	<tr><th>Cell:</th><td><input type="text" name="contact_cell_phone" value="<?php echo $c->contact->cell_phone; ?>" /></td></tr>
    	<tr><th>Fax:</th><td><input type="text" name="contact_fax" value="<?php echo $c->contact->fax; ?>" /></td></tr>

    	<tr><th>Address:</th><td><div id="contactAddressDiv">
    		<?php echo tableDropdown("contact_address_id", $c->contact->address_id, $c->addresses, "line1, city, state, zip"); ?>
    		<small><?php echo HtmlUtil::internalAsynchLink("[new]", "address", $userRoles, "contactAddressDiv", array("prefix" => "contact_")); ?></small></div>
    	</td></tr>
    </table>